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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):394-398.
Psychological Characteristics of the Patients with Low Back Pain by Traffic and Industrial Accidents.
Park, Gi Young , Lee, So Young , Kang, Chul Hyung
1Department of Rehabilitation Medicine, Orthopedic Medicine, Keimyung University School of Medicine, Korea. sylee@dsmc.or.kr
2Department of Orthopedic Medicine, Keimyung University School of Medicine, Korea.
교통사고 및 산업재해로 인한 요통 환자의 심리적 특성
박기영, 이소영, 강철형1
계명대학교 의과대학 재활의학교실, 1정형외과학교실
To survey characteristic patterns and speculate psychologic factors of the patients with low back pain associated with industrial injury or traffic accidents.

Nineteen low back pain patients after traffic (12 cases) or industrial (7 cases) accidents were compensation insurance status. 40 controls were low back pain patients without compensation insurance status. All had been evaluated with an electrodiagnostic study. Pain drawings and symptom check list for minor psychiatric disorder (SCL- MPD) were assessed to speculate the characteristics of the psychologic factors.

In the electrodiagnostic study patients with compensation insurance status had segmental radiculopathy in 5 cases (26.3%) and controls in 18 cases (45.5%). Pain drawings classified as Ransford scores were abnormal in 14 cases (73.7%) of the patients and in 9 cases (24.3%) of the controls. Visual inspection of the pain drawings classified as non-indicative were 12 cases (63.2%) of the patients and 13 cases (31.3%) of the controls. SCL-MPD showed higher somatization, depression and phobic-anxiety scores than the controls.

Pain drawing and SCL-MPD are available for screening of the psychological factors and management for low back pain of compensation insurance stauts. (J Korean Acad Rehab Med 2003; 27: 394-398)

Key Words: Low back pain, Compensation insurance status, Pain drawing, SCL-MPD


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